Individual
DR. GODARD JACQUES VAN REEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2245 STANTONSBURG RD, SUITE O, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 638-3742
Mailing address
2245 STANTONSBURG RD, SUITE P, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 752-2971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2687
NC
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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